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[ARTICLES] Understanding Chin Ptosis: Causes, Solutions, and Why Accurate Diagnosis Matters

A chin that appears long or drooping is often considered a simple aesthetic concern. However, in many cases, it is the result of multiple underlying factors rather than just a superficial issue. Visually, a drooping chin can elongate the lower face and affect overall facial balance and impression. Chin ptosis is rarely caused by skin laxity alone. Instead, it often involves a combination of factors such as the length or position of the chin bone, fat accumulation in the chin area, and loosening of the skin and soft tissues. In particular, when the chin bone is long or protrudes downward, it can make the face appear longer or create a heavier impression. As the causes vary, treatment approaches must also be tailored to each individual. When the issue is related to the chin bone structure, surgical procedures such as genioplasty to adjust the length and position of the chin may be required. On the other hand, if soft tissue sagging or fat is the primary cause, less invasive treatmen...
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*Surgery Diary - 11 - "Everything about revision facial contouring surgery"

 [Doctor's Surgery Diary]

- 11 -

"Everything about revision facial contouring surgery"


Let's talk more about revision facial contouring.


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In the first case, the patient visited for a consultation to remove the pin after double jaw surgery.

After CT scans, surgery was planned to improve asymmetry which still remains, and reduce the cheekbone and the length reduction of the chin.


During surgery, all the pins were successfully removed, the cheekbones were reduced to match the proportion, the length of the chin tip was adjusted and the jawline was trimmed as well.



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The second case is a person who visited for a lifting consultation.
The patient had a previous surgical history of the cheekbone, so we took a CT scan to check the bone condition.

All the pins for fixing the cheekbones were broken or out of place. 
On the right side, the patient still felt uncomfortable in the 45-degree cheekbones when eating.


The current condition of the bone was judged to be one of the causes of facial sagging as well as functional problems, so revision cheekbone surgery was performed.


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The last case is where the patient decided on revision surgery since didn't feel much improvement in the side cheekbone, especially on the right side
even if she felt a 45-degree change in the cheekbone area.

On the right side, the 45-degree cheekbones were not sufficiently close attached inwards due to the design of the bone fracture line, which was wider than on the left.
The surgical plan was to partially remove a disturbing bone and re-fixate the cheekbones.


During the surgery, the empty space on the upper part of the cheekbone was large, so I compensated the cut-out bone piece changed to a transplant form.
You can see it in the picture the space is sufficiently filled and the CT results are as follows.


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As you can see, successful surgery requires a harmonious combination of accurate diagnosis, an optimized surgical plan, safe surgery, and meticulous follow-up.


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Location: 대한민국 서울특별시 강남구

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